45D0956786 CLIA NUMBER - CAPITOL DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D0956786
  • Facility Name: CAPITOL DERMATOLOGY ASSOCIATES
  • Facility Address: 11410 JOLLYVILLE ROAD SUITE 2201
    AUSTIN, TX
    ZIP 78759
  • Facility Phone: (512) 345-8688
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. HANS M. SANDER
  • NPI Number: 1821185190
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D0956786
LAB Type Physician Office
Facility Name CAPITOL DERMATOLOGY ASSOCIATES
Street 11410 JOLLYVILLE ROAD SUITE 2201
City AUSTIN
State TX
ZIP 78759
Phone 5123458688
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/14/2026
Certificate Expiration Date 2/13/2028
Facility Type Physician Office
Lab Director DR. HANS M. SANDER

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This page was last updated on: 5/18/2026